Alexander Keszeli, DO
Otolaryngic Allergy · Exton, PANPI 1588652184
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 90.6% of the total across 135 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 31 manufacturers, the largest accounting for just 16.2% — the pattern of someone who eats at a lot of different presentations.
Across 135 payments — averaging $20.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$456
- Regeneron Healthcare Solutions, Inc.$228
- Stryker$228
- Optinose US, Inc.$187
- Sanofi-aventis U.S. LLC$181
- Harmony Biosciences LLC$168
- plus $1K from 25 others
What the payments were for
- Consulting fees$853%
- Food & beverage$2,55591%
- Education$1816%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| GSK | 24 | $456 |
| Regeneron Healthcare Solutions, Inc. | 13 | $228 |
| Stryker | 11 | $228 |
| Optinose US, Inc. | 10 | $187 |
| Sanofi-aventis U.S. LLC | 2 | $181 |
| Harmony Biosciences LLC | 9 | $168 |
| Aerin Medical Inc. | 5 | $153 |
| Sanofi | 6 | $146 |
| Acclarent, Inc | 4 | $136 |
| Novartis | 8 | $120 |
| Genentech USA, Inc. | 6 | $100 |
| Kaleo, Inc. | 5 | $83 |
| Jazz Pharmaceuticals Inc. | 3 | $73 |
| Axsome Therapeutics, Inc. | 2 | $69 |
| Phathom Pharmaceuticals, Inc. | 3 | $61 |
| AstraZeneca | 3 | $53 |
| Medtronic(2 entities) | 2 | $51 |
| ARS Pharmaceuticals Operations, Inc. | 3 | $48 |
| Alk-abello, Inc | 3 | $47 |
| Intersect ENT, Inc. | 2 | $38 |
| Integra Lifesciences Corporation | 1 | $23 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $22 |
| Pfizer | 1 | $21 |
| Sanofi US Services Inc. | 1 | $20 |
| Inspire Medical Systems, Inc. | 1 | $20 |
| Aimmune Therapeutics, Inc. | 1 | $18 |
| Resmed Corp | 1 | $17 |
| Vertex | 1 | $15 |
| Merck | 1 | $15 |
| Olympus America Inc. | 1 | $11 |
| Cook Medical LLC | 1 | $11 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
Too few otolaryngic allergy providers in Pennsylvaniato place this figure against a meaningful peer group, so we don't.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Ofloxacin | 70 | $1,066 |
| Fluticasone Propionate | 76 | $853 |
| Omeprazole | 97 | $798 |
| Ipratropium Bromide | 27 | $660 |
| Methylprednisolone | 93 | $390 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 34 | $249 |
| Clindamycin Hcl | 23 | $161 |
| Prednisone | 35 | $101 |
| Azithromycin | 38 | $84 |
Paid to pharmacies, not to this prescriber.
Other otolaryngic allergy in Exton
- Elina ToskalaPhiladelphia$108K
- Zaher SrourHanover$4K
- Mohammad AkbarPottsville$2K
- Louis MariottiKingston$1K
- Sidney LipmanErie$958
- Jack AnonErie$642
- Allison HarbartJohnstown$280
- David RogersonJohnstown$80
- Kristin BrantJohnstown$15
- David ArmstrongJohnstown$13
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.